Healthcare Provider Details

I. General information

NPI: 1871779561
Provider Name (Legal Business Name): ELIZABETH ANN LEEN-BURNS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 08/01/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5815
US

IV. Provider business mailing address

900 VILLAGE SQUARE XING STE 290
PALM BEACH GARDENS FL
33410-4552
US

V. Phone/Fax

Practice location:
  • Phone: 561-357-5636
  • Fax: 561-357-9012
Mailing address:
  • Phone: 239-313-2517
  • Fax: 239-666-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2624642
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN2624642
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberAPRN2624642
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: